Marian Iskander Manson, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN19143 Issued in FL

Practice address

481 N Harbor City Blvd Ste 102
Melbourne, FL 32935-6877

Phone

(321) 254-7474

NPI assigned

Jun 6, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BCG Dental Group, P LLC

  • Dentist
  • Melbourne, FL
  • NPI 1518887173
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1003136649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N HARBOR CITY BLVD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356877",
            "telephone_number": "321-254-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N HARBOR CITY BLVD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356877",
            "telephone_number": "321-254-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSON",
        "first_name": "MARIAN",
        "middle_name": "ISKANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-06",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra B Mann, PTA
• Nancy A Mann, CRNA
• Shivani Sikiu Prashad Mann, DMD
• Tara Mann
• Matthew Mansingh
• Song Mao
• Kayla Marie Marana, LMT
• Marathon Health, Inc.
• Marathon Health, Inc.
• Marathon Health, Inc.

• Pediatric Dentistry in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.